Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy

Rachel A. Scott; Nita Bhat; Shruthi Harish Bindiganavile; Helen K. Li; Andrew G. Lee

doi:10.1097/WNO.0000000000001041

Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy

Rachel A. Scott, Nita Bhat, Shruthi Harish Bindiganavile, Helen K. Li, Andrew G. Lee

Research output: Contribution to journal › Article › peer-review

Abstract

ABSTRACT: A 70-year-old woman presented with acute awareness of decreased color vision in her right eye. Fundus examination and a flash electroretinography (ERG) were both normal. A multifocal ERG (mfERG) however revealed foveal depression, and thinning of inner nuclear layer was noted on macular optical coherence tomography (OCT), and a diagnosis of resolved paracentral acute middle maculopathy was made. Clinicians should be aware of the complementary role of OCT and mfERG in unexplained acute central visual loss to distinguish retinal from neuro-ophthalmic etiologies. Structural ocular imaging with OCT shows features of inner, middle, and outer retinal localizations to the visual loss.

Original language	English (US)
Pages (from-to)	e205-e208
Journal	Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
Volume	41
Issue number	2
DOIs	https://doi.org/10.1097/WNO.0000000000001041
State	Published - Jun 1 2021

ASJC Scopus subject areas

Ophthalmology
Clinical Neurology

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title = "Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy",

abstract = "ABSTRACT: A 70-year-old woman presented with acute awareness of decreased color vision in her right eye. Fundus examination and a flash electroretinography (ERG) were both normal. A multifocal ERG (mfERG) however revealed foveal depression, and thinning of inner nuclear layer was noted on macular optical coherence tomography (OCT), and a diagnosis of resolved paracentral acute middle maculopathy was made. Clinicians should be aware of the complementary role of OCT and mfERG in unexplained acute central visual loss to distinguish retinal from neuro-ophthalmic etiologies. Structural ocular imaging with OCT shows features of inner, middle, and outer retinal localizations to the visual loss.",

author = "Scott, {Rachel A.} and Nita Bhat and {Harish Bindiganavile}, Shruthi and Li, {Helen K.} and Lee, {Andrew G.}",

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doi = "10.1097/WNO.0000000000001041",

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T1 - Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy

AU - Scott, Rachel A.

AU - Bhat, Nita

AU - Harish Bindiganavile, Shruthi

AU - Li, Helen K.

AU - Lee, Andrew G.

PY - 2021/6/1

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AB - ABSTRACT: A 70-year-old woman presented with acute awareness of decreased color vision in her right eye. Fundus examination and a flash electroretinography (ERG) were both normal. A multifocal ERG (mfERG) however revealed foveal depression, and thinning of inner nuclear layer was noted on macular optical coherence tomography (OCT), and a diagnosis of resolved paracentral acute middle maculopathy was made. Clinicians should be aware of the complementary role of OCT and mfERG in unexplained acute central visual loss to distinguish retinal from neuro-ophthalmic etiologies. Structural ocular imaging with OCT shows features of inner, middle, and outer retinal localizations to the visual loss.

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Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy

Abstract

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